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NPI Code Detail

MEDICARE: ALTERNATIVE COMMUNITY RESOURCE PROGRAM

MEDICARE: ALTERNATIVE COMMUNITY RESOURCE PROGRAM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency315680PA
2251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407179898
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALTERNATIVE COMMUNITY RESOURCE PROGRAM
Provider Business Mailing Address
First Line : 131 MARKET ST
Second Line :
City : JOHNSTOWN
State : PA
Zip : 15901-1628
Country : US
Telephone Number : 814-535-2277
Fax Number : 814-539-0475
Provider Business Practice Location Address
First Line : 3010 7TH AVE
Second Line :
City : ALTOONA
State : PA
Zip : 16602-1906
Country : US
Telephone Number : 814-942-9425
Fax Number : 814-942-9725
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : FRANK J JANAKOVIC
Credential :
Telephone Number : 814-535-2277
Provider Enumeration Date : 03/12/2010
Last Update Date : 07/21/2022

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Directions to “ALTERNATIVE COMMUNITY RESOURCE PROGRAM ” Practice Location

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